Shalom Health Care Center, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Indianapolis, IN. Organization (NPI-2).
NPI number1982242327
StatusActive
Last updated in NPPESMar 30, 2026
Details
- NPI
- 1982242327
- Entity type
- Organization (NPI-2)
- Legal business name
- Shalom Health Care Center, INC.
- Organization subpart
- Yes
- Enumeration date
- Dec 17, 2019
- Certification date
- Mar 30, 2026
- Last updated
- Mar 30, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
| 208000000X | Pediatrics | – | – | |
| 363LP0200X | Nurse Practitioner, Pediatrics | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 363AM0700X | Physician Assistant, Medical | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – |
Practice location
3400 Lafayette RdMobile Unit
Indianapolis, IN 46222-1146
Phone 317-291-7422
Mailing address
3400 Lafayette RdIndianapolis, IN 46222-1146
Authorized official
Leonardo R Ortega
Ceo
3172917422
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